This past decade, the healthcare industry has undergone a transformation with where, how, and why writing happens. For example, what the health and medical professions conceive of as “documentation” or “charting” is writing, even though practitioners call it by another name. Additionally, most writing in healthcare settings is now also multimodal, incorporating textual, digital, visual, and aural content. This essay focuses on the patient decision aid as pedagogical tool that embraces the technological and multimodal changes in health and medicine. Patient decision aids can be understood as a multimodal tool guiding shared decision-making practices. As a genre, the decision aid prompts students to engage in a series of writing modalities – visuals, narrative, texts – as well as the application of user experience and design. Finally, the decision aid as an assignment offers explicit connections between humanities-based students and broader healthcare industries.

Population health is a concept at the core of national healthcare reform efforts. Population health focuses on the social determinants of health, or the living conditions of people at work, home, and play. To participate in population health initiatives, organizations must collect population-level data, creating a discourse of resilience-as-ability-to-cope through mapping community demographics, as though a counting of bodies and their material conditions creates a foundation for sustained, improved health outcomes. In 2010, the U.S. Department of Health and Human Services Office of Disease Prevention and Health Promotion (ODPHP) launched an initiative called Healthy People 2020, a set of ten-year national goals and objectives for health promotion and disease prevention. In this essay, we analyze this data project, arguing that the discourses of resiliency (through improved national, state, and local data collection efforts) and vulnerability (of the people who are reduced to data) create a constitutive rhetoric for U.S. public health officials to rally around the cause of population health yet exclude the very people upon whom such a cause should focus. Specifically, an examination of the ODPHP’s Healthy People 2020 website reveals that the reduction of bodies to quantification in data displays for health professionals, when viewed through the lens of Philip Wander’s Third Persona, objectifies groups of people already historically marginalized and obfuscates pathways to social action. We argue that instead, an ecological, relational definition of resilience must be fostered through autonomy of communities in the decisions they make about their own community members’ health and wellness.

As the healthcare system in the United States becomes more complex, so does the information needed for administrators and clinicians to keep apprised of new regulatory and systemic changes. In this article, I use a review and analysis of an online resource project to identify effective practices to educate and support healthcare safety net organizations, or those clinics that serve low-income populations. The project team consisted primarily of healthcare researchers who used a systematic review of the scholarly literature to develop online systems for transmitting information about healthcare payment and service delivery reform to those serving low income populations. As the technical communicator working on this project, the author advocated incorporating concepts of user research and user-centered design to the project team. This research included a survey of provider-users. The analysis of this project revealed that, in the health and medical community, evidence-based medicine and the genre of systematic literature review may be privileged such that provider-user needs for information seeking are not taken into account when designing online communication based on these reviews. Communication designers may need to work with and adapt the work of translation science and knowledge-to-action to develop more user-centered online content for provider education.